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Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants.

Publication ,  Journal Article
Romaine, A; Clark, RH; Davis, BR; Hendershot, K; Kite, V; Laughon, M; Updike, I; Miranda, ML; Meier, PP; Patel, AL; Smith, PB; Cotten, CM ...
Published in: J Pediatr
November 2018

OBJECTIVE: To identify factors associated with prolonged maternal breast milk (BM) provision in very low birth weight (VLBW) infants. STUDY DESIGN: This was a cohort study of VLBW infants who initially received maternal BM and were born at one of 197 neonatal intensive care units managed by the Pediatrix Medical Group from 2010 to 2012. We used multivariable logistic regression to identify demographic, clinical, and maternal factors associated with provision of maternal BM on day of life (DOL) 30 and at discharge. RESULTS: Median gestational age for all infants was 28 weeks (25th, 75th percentiles: 26, 30), and median maternal age was 28 years (23, 33). Of 8806 infants, 6261 (71%) received maternal BM on DOL 30, and 4003 of 8097 (49%) received maternal BM at discharge to home. Predictors of maternal BM provision at DOL 30 included increased maternal age, white maternal race, absence of history of necrotizing enterocolitis or late-onset sepsis, higher household income, lower education level, lack of donor BM exposure, and lower gestational age. CONCLUSIONS: Our results suggest that maternal-infant demographic and clinical factors and household neighborhood socioeconomic characteristics were associated with provision of maternal BM at 30 postnatal days to VLBW infants. Identification of these factors allows providers to anticipate mothers' needs and develop tailored interventions designed to improve rates of prolonged maternal BM provision and infant outcomes.

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Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

November 2018

Volume

202

Start / End Page

23 / 30.e1

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Pediatrics
  • North Carolina
  • Maternal Age
  • Male
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Income
 

Citation

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Romaine, A., Clark, R. H., Davis, B. R., Hendershot, K., Kite, V., Laughon, M., … Greenberg, R. G. (2018). Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants. J Pediatr, 202, 23-30.e1. https://doi.org/10.1016/j.jpeds.2018.07.001
Romaine, Andrew, Reese H. Clark, Briana R. Davis, Kaitlin Hendershot, Vance Kite, Madeleine Laughon, Isaac Updike, et al. “Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants.J Pediatr 202 (November 2018): 23-30.e1. https://doi.org/10.1016/j.jpeds.2018.07.001.
Romaine A, Clark RH, Davis BR, Hendershot K, Kite V, Laughon M, et al. Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants. J Pediatr. 2018 Nov;202:23-30.e1.
Romaine, Andrew, et al. “Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants.J Pediatr, vol. 202, Nov. 2018, pp. 23-30.e1. Pubmed, doi:10.1016/j.jpeds.2018.07.001.
Romaine A, Clark RH, Davis BR, Hendershot K, Kite V, Laughon M, Updike I, Miranda ML, Meier PP, Patel AL, Smith PB, Cotten CM, Benjamin DK, Greenberg RG. Predictors of Prolonged Breast Milk Provision to Very Low Birth Weight Infants. J Pediatr. 2018 Nov;202:23-30.e1.
Journal cover image

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

November 2018

Volume

202

Start / End Page

23 / 30.e1

Location

United States

Related Subject Headings

  • Young Adult
  • White People
  • Pediatrics
  • North Carolina
  • Maternal Age
  • Male
  • Intensive Care Units, Neonatal
  • Infant, Very Low Birth Weight
  • Infant, Newborn
  • Income